Individual
SHERI STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W BROADWAY STE 202, WILLISTON, ND 58801-6056
(701) 774-6300
Mailing address
110 W BROADWAY STE 202, WILLISTON, ND 58801-6056
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2374
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79337
—
ND
Enumeration date
05/15/2014
Last updated
05/15/2014
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